Organization
B.H. COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN LEE HATHAWAY MS, LPC (ADMINISTRATOR)
(541) 890-1965
Entity
Organization
Contact information
Practice address
1201 NE 7TH ST STE C, GRANTS PASS, OR 97526
(541) 890-1965
Mailing address
1201 NE 7TH ST STE C, GRANTS PASS, OR 97526-1451
(541) 890-1965
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500679509
—
OR
Enumeration date
08/08/2018
Last updated
08/08/2018
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